Bupa Australia Pty Ltd (BUP)

At Bupa, we exist to help our members live longer, healthier happier lives. We look after the needs of more than three million Australians and have been part of Australian life for over 60 years through our brands MBF, HBA and Mutual Community. As one of Australia's leading healthcare organisations, we offer a range of private health cover options that give you more of the features and benefits you're looking for. From basic essentials to our most comprehensive products we have cover for singles, couples and families. No matter where you are in life, we have something to suit your changing needs. .
This information is provided by the fund

Bupa Australia Pty Ltd provide further information regarding Gap cover doctors, Agreement hospitals, Preferred providers, Ambulance cover information, Overseas visitors, Overseas students and Corporate products .

Agreement Hospitals

This fund has agreements with some private hospitals or day surgeries to provide services at low or no out-of-pocket costs. You can view Agreement Hospitals for this fund in your region and further details are available from the fund.

Business Structure

This insurer operates on a for-profit basis and is owned by BUPA Group International, a group that operates on a not for profit basis.

Bupa Australia Pty Ltd operates in all states and territories.

Performance

The Private Health Insurance Ombudsman prepares an annual report on the service delivery and performance of Australian health funds. The following is a selection of statistics about this health fund - the full report and an explanation of these figures is available from the Ombudsman's website. Please note information is not provided for some funds in some states, as there are insufficient numbers reported to APRA for states in which the fund does not have a large membership.

Performance Fund Industry
Benefits as a % of contributions 85.3% 87.1%
Management expenses (% cont) 8.2% 8.5%
Management expenses (average policy) $277 $276
Surplus 6.5% 4.4%
Member retention (%) 86.6% 84.8%
Coverage ACT NSW VIC QLD SA WA TAS NT
Hospital Related Charges Covered 81.4% 88.8% 93.6% 90.9% 95.5% 88.5% 93.8% 88.4%
Industry Result 82.4% 89.9% 93.0% 90.7% 95.1% 93.7% 93.8% 88.4%
Medical Services with No Gaps 77.1% 86.7% 89.8% 86.4% 89.6% 79.8% 88.3% 78.0%
Industry Result 77.6% 89.6% 89.5% 86.9% 90.8% 83.4% 89.3% 77.5%
Medical Services with No or Known Gaps 83.5% 88.7% 92.0% 88.5% 93.8% 82.7% 92.0% 82.1%
Industry Result 84.8% 91.7% 94.0% 90.2% 95.9% 94.2% 94.1% 87.9%
General Treatment (extras) Covered 45.2% 49.7% 49.3% 52.8% 54.1% 56.5% 50.6% 52.7%
Industry Result 47.5% 51.2% 52.5% 54.4% 56.1% 56.1% 53.5% 56.3%
Private Hospital Agreements 5 85 74 49 27 18 5 1
Industry Maximum 6 97 78 53 29 21 6 2
Day Hospital Agreements 4 74 56 33 20 15 4 1
Industry Maximum 9 91 73 47 25 24 7 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints 29.7% 26.8%
Service Complaints 28%
All Complaints 27.6%
Investigations 25.9%
Address
Bupa Australia Pty Ltd
PO Box 14639
Melbourne City MC
VIC  8001


Phone: 134 135
Website: http://www.bupa.com.au
Branches: http://www.bupa.com.au/find-a-centre

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Policies

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